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NPI Code Detail

MEDICARE: MONTRAY CLIFF SAINT JAMES PLPC

MEDICARE: MONTRAY CLIFF SAINT JAMES PLPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorPLC9572LA

General Provider Information

NPI Number : 1891551271
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONTRAY CLIFF SAINT JAMES PLPC
Provider Business Mailing Address
First Line : 2329 EDENBORN AVE
Second Line :
City : METAIRIE
State : LA
Zip : 70001-1815
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2329 EDENBORN AVE
Second Line :
City : METAIRIE
State : LA
Zip : 70001-1815
Country : US
Telephone Number : 504-285-0546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2024
Last Update Date : 02/23/2024

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Directions to “ MONTRAY CLIFF SAINT JAMES PLPC” Practice Location

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